OTA DEVELOPMENT FUND
The OTA Development Fund supports education and training. The fund actively sponsors the following:
|
| Scholarship Application |
Contributions to the OTA
Development Fund are tax deductible. Membership to the OTA is
included.
Return the form below with your contribution to:
OTA
PO Box 8313
Omaha, NE 68108-0313
Membership Year 2008
| New member _______ | Renewal ________ | Today's date _____________ |
| Last Name ___________________ | First Name _________________ | NTRP ____________________ |
| e-mail ______________________ | Spouse____________________ | NTRP ____________________ |
| Address ____________________ | City ________________________ | State/Zip+4 ____________-________ |
| Home Phone ( ) ____________ | Work Phone ( ) _____ ____ __ | Spouse's Work Phone ( _)___________ |
| Children's
names
Permission to print children's names in the OTA Roster Book? _____ Yes _____ No |
||
| _____ Club Contributor | $35 - $84 | (Single Adult, Junior, or Senior) | $ _______ |
| _____ Club Contributor | $45 - $84 | (Family) | $ _______ |
| _____ Champion Benefactor | $85 - $164 | $ _______ | |
| _____ Professional Patron | $165 & Over | $ _______ |
Checks payable to OTA Development Fund. Total Amount Enclosed $ __________
Please use my Development Fund donation for:
Adopt-A-Schools Program
Junior
Scholarships
_____ Inner City Tennis
Development
_____ Special Olympics
Where the need is greatest